Optimizing Surgical Conditions During Gynecologic Laparoscopic Surgery With Deep Neuromuscular Blockade

Inclusion Criteria: * patients \> 18 years old * elective laparoscopic operation * can read and understand Danish * informed consent Exclusion Criteria: * BMI \> 30 kg/cm2 * known allergy to medications that are included in the project, * severe renal disease, defined by S-creatinine\> 0,200 mmol/L, GFR \< 30ml/min or hemodialysis), * neuromuscular disease that may interfere with neuromuscular data, * lactating or pregnant, * impaired liver function, * converting to laparotomy, * perioperative use of neuromuscular blocking agents before randomization, * pneumoperitoneum set to \>12 mmHg on the insufflator